PERSONAL GREETINGS ORDER FORM

Customer

Name: _______________________________________________________________

Address: _____________________________________________________________

Suburb: ___________________ State: _____________________ Post code: _______

Home phone: ______________ Email: _____________________________________

Recipient

Name: _______________________________________________________________

Address: _____________________________________________________________

Suburb: __________________ State: ______________________ Post code: _______

Nickname (if any): _____________________________________ Age: ___________

Special hobbies / Additional info to include: _______________________________________________________________________________________________________________________________________________________________________________________________________________

Order information

Product name - Letter from: _____________________________________________

Info to include in letter: __________________________________________________________________________________________________________________________________________

Payment Information

Personal cheque: Y / N _____ Money order: Y / N _____ Credit card Y /N _______

Amount $_____________

Mail order form & payment to PO Box 170, Joondalup D C, W.A, 6919 or email order to personalgreetings@iprimus.com.au.

Press print in your browser and send off the ordering form including Payment.